HIV in Children
February 2014 NEWSLETTER
HIV IN CHILDREN
February 2014 Newsletter
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GRAND ROUNDS
A 5 month old boy presented with recurrent fever, cough and cold for 2 months. There is no contact with TB. Birth was uneventful and he is immunized till date. He was on exclusive breast feeds. On examination, he was febrile, had tachypnea (respiratory rate = 86/min) with subcostal and intercostal retractions and had hepatosplenomegaly. Other systems were normal. In view of recurrent infections with hepatosplenomegaly and pneumonia, an underlying immunodeficiency was suspected. Mother’s HIV ELISA was positive. The child’s investigations showed:
• Hemoglobin = 8.6 gm/dl
• WBC = 3,800/cumm (67% polymorphs, 28% lymphocytes)
• Platelet = 18,000/cumm
• Chest X-Ray = Bilateral basal haziness
• ABG = Hypoxia

The child was treated with Inj Ceftriaxone and Amikacin but did not respond. An ID consult was asked on Day 4 of hospitalization but the child died in the next hour. A post mortem BAL was advised.

What could be the likely infection in this child?

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